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The Allsport Soccer Arena of Northampton, MA participant waiver.

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AND PARENTAL CONSENT AGREEMENT

("AGREEMENT")

IN CONSIDERATION of being permitted to participate in any way in the soccer activity ("Activity') I, for myself for personal representatives, assigns, heirs, and next of kin:

1. ACKNOWLEDGE, agree, and represent that I understand the nature of soccer activities and that I am qualified, in good health, and in proper physical condition to participate, in such Activity. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.

2. FULLY UNDERATAND THAT: (a) soccer activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis, and death ("Risks"); (b) these Risks and dangers may be caused by my own actions or inactions, the actions or inactions of others participating in the Activity, the condition in which the Activity takes place, or the negligence of the "releasees" named below; (c) there may be other risk and social and economic losses either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation or that of the minor in the activity.

3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE ALLSPORT SOCCER ARENA,  respective administrators, directors, agents, officers, members, volunteers, and employees, other participants, any sponsors, advertisers, and, if applicable, owner and lessors of premises on which the Activity takes place, (each considered one of the Releases herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations and I further agree that if, despite this release and waiver of liability, assumption of risk, and indemnity agreement I, or anyone on my behalf, makes a claim against any of the Releasees, I will indemnify, save, and hold harmless each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which may incur as the result of such claim.

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, understand that I have given up substantial rights by signing it and have signed it freely and without inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent by I and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

 

MINOR RELEASE

AND I, THE MINOR'S PARENT AND/OR LEGAL GUARDIAN, understand the nature of soccer activities and the minors experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity.  I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of  the releasees from all liabililty claims, demands, losses, or damages on the minor's account caused or alleged to be caused in whole or in part by the neigligence of the releases or otherwise, including negligent rescue operation and further agree that if, depsite this release, i, the minor, or anyone on the minors behalf makes a claim against any of the releases named above, I will indemify, save, and hold harmless each of the releases from any litigation expenes, attorney fees, loss liability, damage, or cost that may occur as a result of such claim

 

 

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First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Team Name

Team Name 2
Division / League*
Boys High School Team
Boys U14 Team
Boys U13 Team
Boys U12 Team
Boys U11 Team
Boys U10 Team
Boys U9 Team
Girls High School Team
Girls U14 Team
Girls U13 Team
Girls U12 Team
Girls U11 Team
Girls U10 Team
Girls U9 Team
Men's Open Team
Men's Over 40 Team
Co-ed Open Team
Co-ed Over 35 Team
Women's Open Team
Other Team
Budding Stars Clinic
Youth Soccer Training
First Participant's Signature*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and advanced registration notifcations by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Team Name

Team Name 2
Division / League*
Boys High School Team
Boys U14 Team
Boys U13 Team
Boys U12 Team
Boys U11 Team
Boys U10 Team
Boys U9 Team
Girls High School Team
Girls U14 Team
Girls U13 Team
Girls U12 Team
Girls U11 Team
Girls U10 Team
Girls U9 Team
Men's Open Team
Men's Over 40 Team
Co-ed Open Team
Co-ed Over 35 Team
Women's Open Team
Other Team
Budding Stars Clinic
Youth Soccer Training
Parent or Guardian's Signature
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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